LA REACh MDI Revitalization

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
LA REACh MDI Revitalization Form
LA REACh MDI Revitalization Form
LA REACh MDI Revitalization 2022_March_CHXQ6B_2499417.docx Form
LA REACh MDI Revitalization 2022_March_CHXQ6B_2499417.docx Form
OMB Justification Form LA REACh 3.29.22.docx OMB Justification IC Document
OMB Justification Form LA REACh 3.29.22.docx OMB Justification IC Document

Information Collection (IC) Details

IC Title:	LA REACh MDI Revitalization	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	LA REACh MDI Revitalization	2022_March_CHXQ6B_2499417.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Justification	OMB Justification Form LA REACh 3.29.22.docx	04/26/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.